Great Lakes Pediatric Cardiology PLLC
NPI 1972293967 · Pediatric Cardiology Physician · Sterling Heights, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Great Lakes Pediatric Cardiology PLLC is a Pediatric Cardiology Physician organization in Sterling Heights, MI (NPI 1972293967).
Provider details
- NPI number
- 1972293967
- Entity type
- Organization
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ismael Gonzalez Rangel, Pediatric Cardiologist(361) 228-5103
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Great Lakes Pediatric Cardiology
- Doing business as
- Great Lakes Pediatric Cardiology, PLLC
Registry dates
- Enumerated
- 2023-05-11
- Last updated
- 2023-06-29
- Certified
- 2023-06-29
Frequently asked questions
- What is Great Lakes Pediatric Cardiology PLLC's NPI number?
- Great Lakes Pediatric Cardiology PLLC's National Provider Identifier (NPI) is 1972293967, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Pediatric Cardiology PLLC?
- Great Lakes Pediatric Cardiology PLLC is classified in the NPPES registry as Pediatric Cardiology Physician (Allopathic & Osteopathic Physicians).
- Where is Great Lakes Pediatric Cardiology PLLC located?
- Great Lakes Pediatric Cardiology PLLC's practice location on file with NPPES is 43200 Dequindre Rd Ste 105, Sterling Heights, MI 48314-1707.
- What is Great Lakes Pediatric Cardiology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Pediatric Cardiology PLLC is (248) 780-9490.
- Does Great Lakes Pediatric Cardiology PLLC accept Medicare?
- Great Lakes Pediatric Cardiology PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Great Lakes Pediatric Cardiology PLLC?
- The authorized official listed on Great Lakes Pediatric Cardiology PLLC's NPPES record is Ismael Gonzalez Rangel, Pediatric Cardiologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Pediatric Cardiology PLLC's NPI active?
- Yes — Great Lakes Pediatric Cardiology PLLC's NPI (1972293967) is active in the NPPES registry as of the last update on 2023-06-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.